Other splice variants associated with acquisition of drug resistance include BCR-ABL35INS in chronic myelogenous leukemia (CML) treated with imatinib (Berman et al., 2016), a CD19 splice variant lacking exon 2 in B-cell acute lymphoblastic leukemia (B-ALLs) upon immunotherapy (Sotillo et al., 2015), and ER-alpha36, a splice variant of the estrogen receptor alpha, in ER-positive breast cancer patients upon tamoxifen therapy (Shi et al., 2009). This evidence concerns the gene ESR1 and B-cell acute lymphoblastic leukemia.